Coordinator: Patty Hennigan, Ph.D. pager 504

Behavioral Medicine Toolkit
We are continuing to develop the “Behavioral Medicine Toolkit” for residents to use during patient encounters. During the BM/CODA Rotation, you will be expected to select a topic and develop a Toolkit section on that subject. Your section is due before the end of the rotation, and you will be expected to present it during the last Wednesday Case Conference of the BM/CODA rotation. Completion of the Toolkit assignment is required to pass the rotation.
The Toolkit includes many behavioral health issues, each of which has general clinical guidelines, community resource informational fliers, and patient education materials that are likely to be useful in encounters with patients with these problems or issues.
Each Toolkit topic must include the following four elements:
a. Diagnostic algorithms or differential diagnosis, what providers should look for
b. Treatment recommendations or “tips”
c. Patient Education handout
d. Community resources

You may choose a topic of interest to you, or choose from one of the suggested topics below. You may focus your topic as you see fit:
  1. ADHD
  2. Adherence to medical regimens
  3. Anxiety
  4. Challenging Patients
  5. Chronic pain
  6. Specific child behavior problems or parenting issues
    1. Enuresis/encopresis
    2. Discipline
    3. Developmental expectations
    4. Sleep
    5. Breast-feeding
    6. Adolescent concerns
  7. Cognitive disturbance
  8. Depression and bipolar disorder
  9. Domestic violence
  10. End of life
  11. English literacy
  12. Positive exercise plans
  13. Fatigue
  14. Genograms and family systems
  15. Mood, symptom, and treatment diaries
  16. Obsessive-compulsive disorder
  17. Psychotherapy
  18. Psychotic disorders
  19. PTSD
  20. Relationship problems
  21. Sexual problems
  22. Sleep disturbance
  23. Smoking cessation
  24. Somatization
  25. Stress management
  26. Substance abuse
  27. Unexplained physical symptoms
  28. Weight change, abnormal eating, nutrition


Goals:
1) Psychiatry
a) Interviewing disturbed and crisis patients
b) Diagnosis
c) Psychopharmacology
2) Training in treating chronic pain and addiction/dual diagnosis
3) Behavior change and Motivational Interviewing
4) Special behavioral issues, such as domestic violence (can be tailored to needs or experiences of residents).
5) Learn about community resources through contribution to Behavioral Medicine “Toolkit”
Objectives:
Resident will:
1. Observe patient interviews (live and videotaped) and conduct his/her own observed interviews.
2. Evaluate, diagnose and treat the common psychiatric disorders seen in family practice.
3. Learn and be able to demonstrate approaches to behavior change and motivational interviewing.
4. Observe and conduct assessments and treatments of patients with chronic pain and addiction.
5. Select a topic and write a contribution to Behavioral Medicine “Toolkit”